Individual
MR. PAUL LELAND CARMICKLE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
BLD 510 PARKS RFTA, DUBLIN, CA 94568
(925) 875-4037
(925) 875-4028
Mailing address
249 TIMBER WOLF CT, DUBLIN, CA 94568-4316
(301) 524-7044
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN216078
CA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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